Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Here’s how we can rebuild health care post-pandemic

G. Richard Olds, MD
Physician
June 5, 2021
Share
Tweet
Share

More than 36,000 aspiring physicians recently matched into residencies across the United States.

More than 7,500 earned their degrees at international medical schools. These newly minted doctors, many of whom are U.S. citizens who chose to study abroad, will play an outsized role in treating the underserved communities hit hardest by the pandemic.

It’s well known that the United States faces a massive — and worsening — shortage of doctors. The country will be short up to 139,000 physicians by 2033.

The pandemic only exacerbated the shortfall by compelling a number of doctors to leave the profession. Nearly half of U.S. physicians are over the age of 55 and thus were at risk of complications if they contracted COVID-19. For them, going to work was suddenly a high-risk activity.

Further, stay-at-home orders and the need to focus public health resources on the pandemic kept people out of doctors’ offices. The average practice saw revenues drop more than 30 percent last year. For many doctors, retiring early was a wise financial move, too.

Rural areas and minority communities face especially severe shortages. Of more than 7,200 health professional shortage areas across the country, 60 percent are rural. Patients living in majority-Black zip codes are nearly 70 percent more likely to live in a primary care shortage area than people outside these zip codes.

Without ready access to care, the people who live in these areas experience worse health outcomes. Rural Americans are at higher risk of all five leading causes of death, including heart and respiratory disease, than urban Americans. Rural death rates from COVID-19 have long exceeded the mortality rate in more developed areas.

Meanwhile, Hispanic Americans are 50 percent more likely to die of diabetes than their white counterparts. Black and Hispanic Americans have been about twice as likely to die of COVID-19 as white Americans.

International medical graduates, or IMGs, are uniquely suited to address these disparities.

Nearly 70 percent of IMGs who practice outside city centers work in primary care shortage areas, according to research from the Centers for Disease Control and Prevention. Only 40 percent of U.S.-trained doctors in non-urban areas do the same.

Internationally trained doctors are also more likely to treat people from historically marginalized groups. In areas where the population is 75 percent non-white, IMGs account for nearly 40 percent of the physician workforce. And according to a study published in the Journal of General Internal Medicine, IMGs often care for Medicare beneficiaries with more complicated needs than their domestically trained counterparts.

That trend is evident at the international medical school I lead, which is the largest source of physicians for the United States. This year, more than 1,000 of our students matched into residencies nationwide. Nearly three-quarters matched into primary care specialties, where the need for doctors is greatest.

After the pandemic subsides, expanding access to primary care will be crucial to erasing the health disparities that have plagued rural and historically marginalized communities. That will require educating more doctors and providing enough residencies they need to complete their training.

ADVERTISEMENT

Securing a residency is the key to transitioning from a student to a doctor. Yet, the number of residency positions hasn’t been keeping up with demand. Medicare is the largest source of funds for residency programs, but until recently, spending had been capped at 1997 levels. As a result, the number of available residencies has only increased 1 percent each year since 2002.

Congress finally lifted this spending freeze this past December as part of a COVID-19 relief measure. Lawmakers allocated funds for 1,000 more residency positions over the next five years. New legislation introduced in March would add 14,000 more Medicare-funded residencies over the next seven years.

These are great starts. But we can’t wait until the next pandemic to expand opportunities for future doctors. Opening up more residencies would help a new crop of physicians — especially those trained abroad — to don their scrubs and help the communities most affected by COVID-19.

G. Richard Olds is president, St. George’s University.

Image credit: Shutterstock.com

Prev

The future of residency interviews

June 5, 2021 Kevin 0
…
Next

Blockchain in health care and in your portfolio [PODCAST]

June 5, 2021 Kevin 1
…

Tagged as: Medical school

Post navigation

< Previous Post
The future of residency interviews
Next Post >
Blockchain in health care and in your portfolio [PODCAST]

ADVERTISEMENT

More by G. Richard Olds, MD

  • Doctors trained abroad will save rural health care

    G. Richard Olds, MD
  • International medical graduates ease the U.S. doctor shortage

    G. Richard Olds, MD

Related Posts

  • How social media can help or hurt your health care career

    Health eCareers
  • Why health care replaced physician care

    Michael Weiss, MD
  • Turn physicians into powerful health care influencers

    Kevin Pho, MD
  • Health care needs more physician CEOs

    Alexi Nazem, MD
  • The COVID-19 pandemic is a catalyst for reimagining future health care delivery

    Imelda Dacones, MD
  • Health care is not a service commodity

    Peter Spence, MD, MBA

More in Physician

  • The case for coordinated care for children

    Ronald L. Lindsay, MD
  • The unseen labor of EMS professionals

    Ryan McCarthy, MD
  • Telehealth licensing barriers hurt patients

    Ryan Nadelson, MD
  • When a rural hospital dies

    Dalia Saha, MD
  • When a good radiologist is accused of fraud

    Daniel Cousin, MD
  • The simple wellness hack of playing catch

    Sarah Averill, MD
  • Most Popular

  • Past Week

    • Ethical AI in mental health: 6 key lessons

      Ronke Lawal | Tech
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
    • The decline of the doctor-patient relationship

      William Lynes, MD | Physician
    • Rethinking cholesterol and atherosclerosis

      Larry Kaskel, MD | Conditions
    • Diagnosing the epidemic of U.S. violence

      Brian Lynch, MD | Physician
    • A neurosurgeon’s fight with the state medical board [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Rethinking the JUPITER trial and statin safety

      Larry Kaskel, MD | Conditions
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The mental health workforce is collapsing

      Ronke Lawal | Conditions
    • The silent disease causing 400 amputations daily

      Xzabia Caliste, MD | Conditions
    • The stoic cure for modern anxiety

      Osmund Agbo, MD | Physician
  • Recent Posts

    • Why universities must invest their wealth to protect science [PODCAST]

      The Podcast by KevinMD | Podcast
    • Is infection the real cause of heart disease?

      Larry Kaskel, MD | Conditions
    • The case for coordinated care for children

      Ronald L. Lindsay, MD | Physician
    • The unseen labor of EMS professionals

      Ryan McCarthy, MD | Physician
    • Telehealth licensing barriers hurt patients

      Ryan Nadelson, MD | Physician
    • Physician suicide prevention: a call to action

      Muhamad Aly Rifai, MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Ethical AI in mental health: 6 key lessons

      Ronke Lawal | Tech
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
    • The decline of the doctor-patient relationship

      William Lynes, MD | Physician
    • Rethinking cholesterol and atherosclerosis

      Larry Kaskel, MD | Conditions
    • Diagnosing the epidemic of U.S. violence

      Brian Lynch, MD | Physician
    • A neurosurgeon’s fight with the state medical board [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Rethinking the JUPITER trial and statin safety

      Larry Kaskel, MD | Conditions
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The mental health workforce is collapsing

      Ronke Lawal | Conditions
    • The silent disease causing 400 amputations daily

      Xzabia Caliste, MD | Conditions
    • The stoic cure for modern anxiety

      Osmund Agbo, MD | Physician
  • Recent Posts

    • Why universities must invest their wealth to protect science [PODCAST]

      The Podcast by KevinMD | Podcast
    • Is infection the real cause of heart disease?

      Larry Kaskel, MD | Conditions
    • The case for coordinated care for children

      Ronald L. Lindsay, MD | Physician
    • The unseen labor of EMS professionals

      Ryan McCarthy, MD | Physician
    • Telehealth licensing barriers hurt patients

      Ryan Nadelson, MD | Physician
    • Physician suicide prevention: a call to action

      Muhamad Aly Rifai, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...